XML 46 R29.htm IDEA: XBRL DOCUMENT v3.10.0.1

Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2018

Goodwill and Intangible Assets Disclosure [Abstract]

Summary of Intangible Assets, Net

Intangible assets, net, consist of the following (in thousands):

		December 31, 2018
		Gross Carrying Value				Accumulated Amortization				Net Carrying Value
Physician and hospital agreements		$	376,871			$	(223,589)			$	153,282
Customer relationships			443,300				(71,870	)			371,430
Trade names			43,156				(4,630	)			38,526
Patented and other technology			47,561				(22,487	)			25,074
		$	910,888			$	(322,576)			$	588,312

		December 31, 2017
		Gross Carrying Value				Accumulated Amortization				Net Carrying Value
Physician and hospital agreements		$	381,635			$	(203,915)			$	177,720
Customer relationships			443,300				(48,837	)			394,463
Trade names			43,156				(2,933	)			40,223
Patented and other technology			38,590				(11,068	)			27,522
		$	906,681			$	(266,753)			$	639,928

Amortization Expenses for Existing Intangible Assets for the Next Five Years

Amortization expense for existing intangible assets for the next five years is expected to be as follows (in thousands):

2019		$	66,532
2020			59,969
2021			53,771
2022			46,249
2023			40,448

X

- Definition

Tabular disclosure of amortization expense of assets, excluding financial assets, that lack physical substance, having a limited useful life.

+ References

No definition available.

+ Details

Name:	us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	nonnum:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_GoodwillAndIntangibleAssetsDisclosureAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of assets, excluding financial assets and goodwill, lacking physical substance with a finite life, by either major class or business segment.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 30
-Section 50
-Paragraph 2
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16265-109275

+ Details

Name:	us-gaap_ScheduleOfFiniteLivedIntangibleAssetsTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	nonnum:textBlockItemType
Balance Type:	na
Period Type:	duration